stART Holiday Party and Theater Event

Registration Form

Students Name

First Name

Last Name

Phone

(###)

###

####

Where are we delivering your dinner and art supplies?

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Who will be home to receive the delivery?

We will be dropping off the food at 4:30pm on August 6. The event will begin at 6:30pm

Do you have access to a smartphone, tablet, or computer that can access a ZOOM call?

Yes

Your Dinner Selection

1) Chipotle Chicken Wrap with Tortilla Chips & Salsa 2) Grilled Veggie & Hummus Wrap with Tortilla Chips & Salsa